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<div class="need-main-box">
    <!--指定代购表单-->
    <div class="need-main">
        <div class="need-title">
            <span><img src="images/icon/need.png"  width="25" height="25" alt=""> 指定代购</span>
        </div>
        <div class="need-text">

            <table width="600" border="0" cellpadding="0" cellspacing="0">
                <tr>
                    <td width="190" height="60"><div align="right">* 代购网址：</div></td>
                    <td width="275">
                        <input type="text" name="textfield" class="needtext" />    </td>
                    <td width="135"><span>请粘贴该网站的商品链接</span></td>
                </tr>
                <tr>
                    <td width="190" height="60"><div align="right">* 规格：</div></td>
                    <td width="275">
                        <input type="text" name="textfield" class="needtext" />    </td>
                    <td width="135"><span>请输入该商品的规格、颜色、尺寸等</span></td>
                </tr>
                <tr>
                    <td height="60"><div align="right">* 商品单价：</div></td>
                    <td><input type="text" name="textfield" class="needtext" /></td>
                    <td><span>请填写该商品单价</span></td>
                </tr>
                <tr>
                    <td height="60"><div align="right">* 购买数量：</div></td>
                    <td><input type="text" name="textfield"  class="needtext"/></td>
                    <td><span>请输入购买该商品数量</span></td>
                </tr>

                <tr>
                    <td height="60"><div align="right">* 请上传产品图片：</div></td>
                    <td><input type="text" name="textfield" class="needtext" /></td>
                    <td>上传图片</td>
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                <tr>
                    <td height="60"><div align="right">* 您的电话：</div></td>
                    <td> <input type="text" name="textfield" class="needtext" /></td>
                    <td><span>留下您的电话以便我们及时回复您</span></td>
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                <tr>
                    <td height="60"><div align="right">* 您的姓名：</div></td>
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                    <td><span>请输入您的姓名</span></td>
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                    <td height="60"><div align="right">* 备注：</div></td>
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                    <td><span>备注留言</span></td>
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                <tr>
                    <td height="60"><div align="right">* 验证码：</div></td>
                    <td> <input type="text" name="textfield" class="needtext" /></td>
                    <td><img src="images/timg.jpg" alt="" height="30" width="100"></td>
                </tr>
                <tr>
                    <td height="60"></td>
                    <td><button type="submit" name="Submit" value="需求提交">提交代购单</button> <button type="reset" name="Submit" value="重置表单">重置表单</button></td>
                    <td>&nbsp;</td>
                </tr>
                <tr>
                    <td>&nbsp;</td>
                    <td>&nbsp;</td>
                    <td>&nbsp;</td>
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    <!--指定代购表单end-->
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